New Website Gives Tips to Find a Good Nursing Home for Your Loved One

Online, January 25, 2011 (Newswire.com) - Nursing homes are commonly referred to as nursing care facilities or long term care facilities. The Department of Health

conducts surveys in nursing homes to make sure they are following state and federal regulations (rules). Nursing homes who

have a history of serious problems are inspected more frequently. Nursing homes, also called Skilled Nursing Facilities

(SNF) or convalescent care facilities, provide a wide range of services, including nursing care, 24-hour supervision,

assistance with Activities of Daily Living, and rehabilitation services such as physical, occupational, and speech therapy.

Some people need nursing home services for a short period of time for recovery or rehabilitation after a serious illness

or operation, while others need longer stays because of chronic physical, health or cognitive conditions that require

constant care or supervision.

Miami, FL 01/25/11 - Tony Rodriguez and Stellar Reviews proudly announce the creation of the website http://nursing-homes-

miami.stellarbusiness.com to provide a review of nursing homes in Miami and to offer a free ebook download on asset

protection and estate planning. "I wanted to give an honest review of the nursing home industry. Frankly, there are a lot

of bad nursing homes out there. I make it clear that you need to know the facts" says Tony Rodriguez, a free lance writer

based out of Miami. The website is located here: http://nursing-homes-miami.stellarbusiness.com/

Fifty percent of the nursing homes are fully efficient, according to the theoretically preferred frontier with constant or

decreasing returns to scale.

There is some evidence of a trade-off between labor input efficiency and the quality of care. For example, many nursing

homes choose to work with hospices in their communities to develop comprehensive end-of-life care plans that include

clinically appropriate pain management for their terminally ill residents. Individuals who live in nursing homes are

called "residents." They are called this because they "reside" or live in the nursing home.

Most studies of the causes of abuse in nursing homes have focused on characteristics of patients, workers or interactions

between the two. Some have assumed that patients with cognitive and physical impairment, as well those who have infrequent

visitors, are at greater risk for abuse and neglect (Menio, 1996), although these assumptions have not been substantiated.

The average level of cost inefficiency in Miami nursing homes is estimated at 29%, based on a two-year panel of 164 Skilled

Nursing Facilities and 443 combination Skilled and Health Related Facilities. This study uses a nationally representative

sample of nursing homes and nursing home residents to examine the effect of Medicaid reimbursement on quality of care. The

analysis shows that both reimbursement approach and level affect nursing home quality, as measured by case-mix adjusted

staff to resident ratios.

By that I am writing of one thing in particular: the notion that nursing homes are residential places, homes for our

elderly. The industry has become much better at providing that residential care with quality improving, resident

experience improving and some word of mouth starting to seep out around these improvements. Some states have adopted

Medicaid reimbursement systems that pay nursing homes according to patient type. These case-mix adjusted reimbursements

are intended in part to eliminate the incentive in prospective systems to exclude less profitable patients.

It occurred to me that in 2010 there was a dramatic shift in the talk about the role of nursing homes. The shift seemed to

be already occurring. At one conference I spoke at I attended sessions where nursing home operators wanted to know how to

convert their facilities to assisted living facilities and assisted living facilities wanted to know more about Medicaid

waivers so that they could accept more acute residents.

In this study I examine practices governing nursing assistants, the chief caregivers in nursing homes. Nursing assistants

make up the majority of the employees in a typical establishment, and provide about 90% of direct resident care (Day and

Berman 1989). The job of nursing assistant in a nursing home is typically an entry job. Job requirements are partially

standardized across employers, because federal regulations require nursing assistants to be certified as having had 75

hours of formal training before they are employed.

And just as the industry is getting better, there is a shift. With all of the talk about accountable care, nursing homes

are starting to jockey for position . The real money, they say, is in the Medicare-reimbursed services-the rehabilitation

piece of our business. And they are right. And they are good at providing the service-less expensively than hospitals,

and, therefore, attractive to payers.

The importance of non-profit institutions in the health care sector has generated a vast empirical literature examining

quality differences between non-profit and for-profit nursing homes. Recent theoretical work has emphasized that much of

this empirical literature is flawed in that previous studies rely solely on dummy variables to capture the effects of

ownership rather than accounting for the share of non-profit nursing homes in the market. This analysis considers whether

competitive spillovers from non-profits lead to higher quality in for-profit nursing homes.

Tony Rodriguez is a free lance writer who tackles many different subjects
in his writings. He will cover business, hobbies, medical, pets, and
many other categories. You can view his articles at this website:

http://nursing-homes-miami.stellarbusiness.com